Organization Name: | JACKSON COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1023272945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VERONICA L. DAMRON (CLINICAL COUNSELOR) |
Mailing Address: | 1200 E Tamarack Rd Suite 2 Altus |
State: | OK US |
Postal Code: | 735211234 |
Phone Number: | 5804824095 |
Fax Number: | 5804812499 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | 3613 P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |